21 results
Liver Abscess
•	Pyogenic abscess, accounts for 80% of abscess.
•	Amebic abscess due to Entamoeba histolytica, accounts for 10%.
•	Fungal
& antibiotic treatment ... cornerstones of treatment ... of ABX therapy Indications ... rupture U/S or CT-guided ... drainage- first-line treatment
Right Upper Quadrant Pain
Liver:
 - Infectious: Acute viral hepatitis, Liver abscess
 - Non-infectious: hepatitis (Alcohol, Medications),
hepatitis, Liver abscess ... hepatitis (Alcohol, Medications ... congestion (e.g. heart failure ... Subdiaphragmatic abscess ... #RUQ #Pain #differential
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
of Seizures - Differential ... Toxic: Alcohol, Medication ... Encephalitis, Brain Abscess ... Uremia, Liver failure ... Prophyria #Seizures #Differential
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
seen • Chest CT ... hemorrhage • Treatment ... several months of treatment ... Differential Diagnosis ... #pulmonary #differential
Causes of Antibiotic Failure - Differential Diagnosis Framework
Diagnosis:
 • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
of Antibiotic Failure ... - Differential ... Source control (abscess ... Difficile, COVID ... #Differential #
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver Failure ... , Toxins/Medications ... Dehydration Shock Treatment ... criticalcare #algorithm #treatment
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... spleen, brain) Indications ... causing heart failure ... • Myocardial abscess ... arthritis, splenic abscess
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 • Congestive heart failure
 • Constrictive
Pleural Effusion - Differential ... Congestive heart failure ... • Subphrenic abscess ... Post-CABG • Medication
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... Bradycardia • Renal failure ... Endocarditis + Abscess ... Heart block Medications ... Dysautonomia • Failure
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 • (Re)consult Colorectal Surgery
 • Assess
Adherence • Assess ... Diff. & CMV COVID ... up • Surgery ≠ Treatment ... Failure • If Hesitant ... Algorithm #IBD #Treatment